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Home My WebLink About23-5540City of Zephyrhills z ; } 5335 Eighth Street �. Ili»lt ..� .L.. i �'m`nliLeisiu+ia�nleYroYnwv.:v., ephyrhills, FL 33542 Phone: (813) 780-0020 �.� .g Issue [gate: - Fax: (813) 780-0021 Permit Type: Building,, -,,New (Residential) Onz i+ 0010 36536 # Fire Terrace Nii ARq OMB. *WNER n„mi-rmit IVOIiI Type: + I Building NNew �NI� �!I�I eIIf w Contractor: a LENNAR pl Iy■■ES IIIIIML LL• _. Class of Work: Townhome I Address: 4600 W Cypress St 200 Building Valuation: $232,680.00 AMP FL 33607 Electrical Valuation: l,.. Valuation:.00 Mechanical # #0 PlumbingPhone: (813) 574-5700 Valuation:$23,268.00 Total# #0 Total Fees: $13,714.84 Amount • # w PlumbingDate Paid: 1/23/2023 2:51:21 PM ' Electrical Plan Review Fee $000 Fee .Plumbing ValuationK00 Mechanical Permit SinglePark Impact Fee - • R # # Transportation i percentPublic Safety Impact Fee -Admin $26.35 Sewer Connection Residential Fee $2,090.00 ii Driveway00 Building Permit Fee $1,20140 School #act Fee - Single Family $3,353.00 Mechanical Plan Review Fee ` Building0,00 Plan Review Fee $180.00 Electrical Permit Fee $214.51 ConnectionWater Residential Transportation Impact Fee $3,44520 Public -Police Residential Connection Fire Wall/Smoke Wall Inspection $150 REINSPECTION FEES: (c) With respect to ReInspection fees will comply with Florida Statute 553.80(2)(c) the local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or first reinspection, whichever is greater, for each subsequent reinspection. Notice: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permit required from other governmental entities such as water management, state agencies or federal agencies. "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for improvements to your property. If you intend to obtain financing, consult with your lender or an attorney before recording your notice of commencement." Complete Plans, Specifications add fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. O OCCUPANCY BEFORE ' fp F p TOR SIGNATURE ?,IT OFFICE[) PASCO COUNTY, FLORIDA Permit No. Date Parrnitted -13-uider Name/Owner Name Z-aAl4w Control # County Parcel No. 2-L CJ Ei j SubDiv: Address/Location '53 / �9 X �e-�e- ClOssificallon/Type of Use -- TRANSPORTATION IMPACT FEE Rate: Sq. Ft Unit: Exempt [) Ves; E] No How Determined Impact Fee Amount -3 Zone No. TAZ: Account (056) Single -Family Detached House Amount $ (057) Mobile Home ' (066) Other Residential Exempt 123) Collection Fee Yet; E] No How Determined Land wzunt' Land Credit - Land Total Recreation Account Recreation Credit _ Recreation Total Zone TOTAL AMOUNT Exempt Y" [:]No How Determined Land Accounif Land Credit Land Total Facility Account Facility Credit Facility Total Exempt El Yes[] No How Determined _. Total Arriou"(0 TOTAL AMOUNT ERU Chocked By NO CERTIFICATE OF OCCU*A1Wi RECEIPT NO, DATE BY 81'-7 0020 City of Zephyrhills Permit Application Building Department Date Received Phone Contact for Permitting 908 1 770 Owner's Name CAL HEARTHSTONE LOT OPTION POOL 03 L P Owner Phone Number Owner's Address 23975 Park Sorrento, Ste. 220, Calabasas, CA 91302 Owner Phone Number Fee Simple Titleholder Name N!'q n Owner Phone Number Fax-813-780-0021 1 813.574.5700 1 N/A Fee Simple Titleholder Address I JOB ADDRESS 36536 Camp Fire Terrace LOT# 2201 SUBDIVISION Abbott Square PARCEL ID# 04-26-21-0160-02200-0010 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD/ALT ] P SIGN 0 DEMOLISH INSTALL REPAIR 8 PROPOSED USE 0 SFR O COMM OTHER TYPE OF CONSTRUCTION 10 BLOCK FRAME STEEL DESCRIPTION OF WORK Multi -family / Screen Enclosure / Fence BUILDING SIZE I U/R SF 1939 FOOTAGE 1541 HEIGHT 2� SQ BUILDING $ 232680 VALUATION OF TOTAL CONSTRUCTION b (ELECTRICAL $ 34902 Lp U PROGRESS ENERGY W.R.E.C. AMP SERVICE ,�� IJ @PLUMBING $ 23268 T II J (MECHANICAL $ 16287.6 VALUATION OF MECHANICAL INSTALLATION L' =GAS ® ROOFING SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS LLL FLOOD ZONE AREA YES �0 Li BUILDER COMPANY I Lennar homes, LLC SIGNATURE REGISTERED Y / N FEE CURRE< Y / N Address 430,fW Boy Scout Blvd Suite 600 Tampa, FL 33607 License # CGCI518166 ELECTRICIAN COMPANY Edmonson Electric, Inc. SIGNATURE ZZ REGISTERED Y / N FEE CURREN I Y / N Address License# I EC13005408 PLUMBER COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE REGISTERED Y / N FEE CURREN I Y / N Address License# I CFC042998 ®� MECHANICAL COMPANY Bayonet Plumbing, Heating SIGNATURE REGISTERED Y / N FEE CURREN I Y / N Address �° License # I CAC058062 OTHER COMPANY C Sterling Quality Roofing, Inc SIGNATURE Et REGISTERED I Y/ N FEE CURREt Y I N Address License # CCCO57991 IIIIIIII 1IIIIIIiIIIIIi111111111111I11111I1111III IIIIIIIIIIIIII1111 RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans, (1) set of Energy Forms, R-O-W Permit for new construction, Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Slit Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects COMMERCIAL Attach (2) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new construction. Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans. *"`PROPERTY SURVEY required for all NEW construction. Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (A/C upgrades over $7500) " Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) Reroofs if shingles Sewers Service Upgrades AC Fences (Plot/Survey/Footage) Driveways -Not over Counter if on public roadways..needs ROW NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the Pasco County Building Inspection Division —Licensing Section at 727-847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and 90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I certify that 1, the applicant, have been provided with a copy of the "Florida Construction Lien Law —Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the "owner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to commencement. CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: Department of Environmental Protection -Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment. Southwest Florida Water Management District -Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. Army Corps of Engineers -Seawalls, Docks, Navigable Waterways. Department of Health & Rehabilitative Services/Environmental Health Unit -Wells, Wastewater Treatment, Septic Tanks. US Environmental Protection Agency -Asbestos abatement. Federal Aviation Authority -Runways. I understand that the following restrictions apply to the use of fill: Use of fill is not allowed in Flood Zone W" unless expressly permitted. If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a ,.compensating volume" will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall construction, I certify that fill will be used only to fill the area within the stem wall. If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for lots less than one (1) acre which are elevated by fill, an engineered drainage plan is required. If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned. N . - 00 0 . I 2TIVA 10 Lea IkTJ 1#]:* 21 .,@1 A 1=2 orami M&ftelonsiml T (F.S, 117,03) OWNER OR AGENT Subscribed and sworn a (or affirmed) before me this 11114-22 by Christopher Smith Who js/aEt2t[sonally known to me or44a&' as identification. 41TF Notary Public cm S� Commission No, GG 296057 Stephanie Farmer Name 2M7 E*WF8bM&Y*2023 9 Subscribed and sworn to (or affirmed) before me this 1111-22 by Christopher Smith Who is/are personally known to me or has/have produced as identification. zV_Notary Public Commission No, GG 296057 Stephanie Farmer Name of N ,,:, kN. STEll FAMER C=WJ8*0 * QG 2W BMW rNs Tray I* Wwwo NM*M9 DESCRIPTION: LOT 1-4, BLOCK 22, ABBOTT SQUARE PHASE 2, ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOK PAGE OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA. PROPOSED ELEVATIONS AND GRADING SHOWN HEREON ARE TAKEN FORM THE ENGINEERING PLANS OF 'ABBOTT SQUARE RESIDENTIAL', PREPARED BY "WRA- PROVIDED BY CLIENT ALL ELEVATIONS REFERENCED TO NORTH AMERICAN VERTICAL DATUM OF 1988 INAVD 88) SITE PLAN (NOT A SURVEY) This SITE PLAN Prepared for and Certified To: Lennar Homes (CDD1 RIGHT-OF-WAY TRACT "A" CAMP FIRE TERRACE 27'7 5 "COtSC,'1A L,K „, N 89'48'04' E y' 3yK. 2834 P) it Itroo. P) i O I o 1 I 1 10.0 i 4 10-0' ENTRY a TO � i o m PROPOSED o I STORY -' TOWNHOME -'" PLAN 7532 ELEV "TFF GARAGE t. LOTS II LOT4 BLOCK 22 BLOCK 22 1 _ N 89'48'04" E IP) BASIS OF BEARING ENTRY SEC. 4, TWR 26 S, RNG 21 E. PASCO COUNTY, FLORIDA (ABBOTT SQUARE PHASE 2) 4� Scale. 1 = ZO 92.68' (P) l PC I8 00 (P) 28,34 H /z E 11 N 89 4804- E IPI 1,05iPl TRACT'•8-7A.. (CDD) PARKING AREA • 100. 1�4 f10.0 - w I'' 1 10.0' z o j\Q _l ( - \,I ENTRY 6.3' 0 6.3' _ C PROPOSED PROPOSED I STORY 1 STORY TOWNHOME m TOWNHOME PLAN 1624 o PLAN 1624 ELEV "TH" a ELEV'TFF GARAGE — GARAGEL LOT 3 LOT Z BLOCK 22 v v BLOCK 22 TO 0 PROPOSED ]STORY LoWNHOME PLAN 1532 v ELEV "TH" GARAGER LOTI BLOCK 22 180 17.N3' I 17.3 18 LAN I 'SAL-'�, lOD -f33 3.3''7 33' 3 - Y 33'I �733� 10.0' I I I 1 28.34'IP) 18.00IPI 18.00'IPI 28341P1' �\ N 89-48'04' E (P) 92.68 (P) TRACT " B-7" (CDD) OPEN SPACE NOTES: LOT GRADING TYPE =A PROPOSED PAD ELEVATION =113.50' FRONT SET BACK = 20 LOT' = 9083 SO, FT. LIVING AREA = 2682 SO, FT. SIDE SET BACK 7 5. ENTRY = 280 SO, FT. SIDE SET BACK (CORNER LOT! --10' GARAGE SO FT. REAR SETBACK = 15NOTE ENTRY WALKS ARE 3.0 CONC COVERED LANAI = 436 SO _ FT- C/SA/C UNITS ARE 3-2X3-2' PATIO = NA SOFT PROPOSED: 10.00' PUBLIC UTILITY EASEMENT POOL AREA = NA --SO . FT. CONC. DRIVE = 800 SO. FT. MINIMUM FLOOR ELEVATIONS: A/C & CONC PAD = 40 SO. FT. LIVING AREA: 1 14.17' LEGEND: SIDEWALK = 186 SO, FT. GARAGE AREA: PROPOSED DRAINAGE FLOW SIDE YARD SWALE = NA SO. FT. ELEVATIONS REFERENCED TO (00.000) = PROPOSED GRADE CONSERVATION AREA = NA SCL FT. NORTH AMERICAN VERTICAL E-oo.00 = EXISTING GRADE LOT OCCUPIED = 60 % DATUM OF 1988 AREA TO IRRIGATE __ 40 S/1 APPARENT FLOOD HAZARD ZONE: -X' COMMUNITY NO. 120235 SURVEY ABBREVATIONS (MAPNUMBER 12101C-0452-F( EFFECTIVE DATE: 09/26/2014 I ARC- NOT ID -PEED INV-'NK R' PC - SON OF CURVE SRl RECORD LEGEND A C=AIR COND ONER D E R^Jt NAC E AORS C - La -LICENSED BD SNESS `.0 POINT OF COMPOUND CURVE 2NC' -RANGE VINY `E0.LE AI -ALl)h NJM ENG: L( OR ELEV - FUVATiON E --.ANDSI APE FASEM N CV PE 2MAN NT CQN'2Q. �OrM, R O ^ IIA ROAD SPIKE _2„} "GONG BE= BASE FLOOD ELR/ATON EOP=EDGE OF PAVrMtE E- LOWES. DORELEVATION LF OO..QJPMENT R/W-RCIfi Of WAY + N SENC i MARK WOOD FENCE C/C -FE FENCE MEN] S=llCEACURE SURVEYOR I KOiN SEC (% ION CURVE FCIG-FQ tCORNER (M-- MEASURED PF OINT )K LO RSECTION SN6D-SETNAIL AND DISK fA4➢HALT H ` - C ULCL.A ED rCh1>FOL N:3 CONCRETE MES^MTER U ND SECF.ON PK -IRK PKA ON Lygglp3 CENY, N 2 CHA N,.'NK FENCE C {= THAN NI `ENCE MONUMENT NCF-NO CORNE2 FO:JND ROPER' YUNE Sl,t-SEl Z IRON ROD .03'8183 FIP - FOUND IRON PPE O/A=OVERALL POB OINT OF BEGINNING i BM_ T E MPORARY BE NCH MARK gRiCK CM =CORRUGATED METAL P� , -FOUND IRON SOL OHW-OVER `AID WIKELI FIG C POINT OF COMMENCTMENT COt = COLUMN T69 - l OP 0E BANK CONC=CONCRETE FN&S-rOUNIINAIL III SK O.R-OFFICIALRECORDS POI. POINT ON LINE rWP -TOWNSHIP ALUMINUM FENCE C/S=CONCRETE SLAB O'FOUNDOPEN PIPE IPI =PLAT PRC ONE OF REVERSE CURVE U.E, UTIt FLY EASEMENT =COVERED CST = CLEAR SIGHT TRIANG.t F[IP-EOiJNp PWCHED PIPE FIE =P:AT BOOK FIRM PERMANENT REFERENCE MONUMENT VF -VINYt IENCE JOB #5927 SURVEYOR'S NOTES: SURVEYOR'S CERTIFICATE 1706 Water Oak Drive 1.) Current title information on the subject property had not been This certifies th �il hereon described Tarpon Springs, Florida Date of Site Plan: 9-8-22 furnished to Initial Point Land Surveying, LLC at the time of this Properly aW#d n� Ayyervlsion and Phone: (727)-831-1990 SITE PLAN meets theme 1 aStarac','MM,,/s CV, TCC(ce for FloridaFLS7123@ Tail.eom DWG:AS-P.B-I-=1-BL22-SITE �I,�,qe 'R � gn - 2.) This sketch was prepared without the benefit pi a title search surveysRg� s@J`f , t��§8t�£1/j=j' lti ,Vice of Land LBW 8183 No instruments of record reflecting ownership, easements or SuN6 e yr erv- 7 royi =lie: rights-ot way were furnished to the undersigned, unless otherwise 5 �icae I �1�, 0 { e(1 shown her eon. tI I Drawn by: DJB s -0 S c o 4 'z 7)�a{g ey 3.) Roads, walks, and other similar Items shown hereon were take Staiu6s �h Checked byJH from engineering plans and are subject to survey. '�y{{'��- /�^^ Date: 2t.7c. �.13 4.) This SITE PLAN does not reflect nor determine ownership- �' 'c� "Ft 9 �r�'Q0 `ff 1 y' '' REVISIONS 5.) This S11E PLAN Is subject to matters shown on the Plat of it S, RI t " S/iika H,. "ABBOTT SQUARE PHASE Z" 9 �—' 0 5.) DimensionsM. H - shown hereon are in feet and decimal portions FLORIDA P tII�e�> AND Q thereof MAPPER NO L fildit 7,) Contractor and owner are to verify all setbacks, building dimensions, and layout shown hereon prior to any construction, NOT VALID WITHOUT THE ORIGINAL and immediately advise initial Point Land Surveying, LLC. of any SIGNATURE AND SEAL OF A FLORIDA m� deviation from information shown hereon. Failure to do so will be LICENSED SURVEYOR AND MAPPER Initial Point Land Surveying, LLC. at user's sole risk a I )- U/) ME z-e- Project Name: r v Notice to Building Official of Use of Private Provider Effective January 20, 2003 36536 Camp Fire Terrace Services to be provided: Plans Review X Inspections Note: If the notice applies to either private plan review or private inspection services the Building Official may require, at his or her discretion, the private provider be used for both services pursuant to Section 553.791(2) Florida Statute. PIRMOMM the fee owner, affirm I have entered into a contract with the Private Provider indicated below to conduct the services indicated above. Private Provider Firm: VIRTUAL REVIEW ASSIST, INC. Private Provider: DEBPA ANNE KLAHP, Telephone: 813-376-3088 Fax: N/A Email Address (Optional): deb@virtualreviewassist.com Florida License, Registration or Certificate #: (LIC # BU1967/ PX2300/ BN4615) I have elected to use one or more private providers to provide building code plans review and/or inspection services on the building that is the subject of the enclosed permit application, as authorized by s. 553.791, Florida Statutes. I understand that the local building official may not review the plans submitted or perform the required building inspections to determine compliance with the applicable codes, except to the extent specified in said law. Instead, plans review and/or required building inspections will be performed by licensed or certified personnel identified in the application. The law requires minimum insurance requirements for such personnel, but I understand that I may require more insurance to protect my interests. By executing this form, I acknowledge that I have made inquiry regarding the competence of the licensed or certified personnel and the level of their insurance and am satisfied that my interests are adequately protected. I agree to indemnify, defend, and hold harmless the local government, the local building official, and their building code enforcement personnel from any and all claims arising from my use of these licensed or certified personnel to perform building code inspection services with respect to the building that is the subject of the enclosed permit application. I understand the Building Official retains authority to review plans, make required inspections, and enforce the applicable codes within his or her charge pursuant to the standards established by s. 553.791, Florida Statutes. If I make any changes to the listed private providers or the services to be provided by those private providers, I shall, within I business day after any change, update this notice to reflect such changes. The building plans review and/or inspection services provided by the private provider is limited to building code compliance and does not include review for fire code, land use; environmental or other codes. The following attachments are provided as required: 1. Qualification statements and/or resumes of the private provider and all duly authorized representatives.* 2.. Proof of insurance for professional and comprehensive liability in.the, amount of $1 million per occurrence relating to all services performed as a private provider, including tail coverage for a minimum of 5 years subsequent to the performance of building code inspection services. (signature) Print Name: Address: Telephone No.: Please use appropriate notary block. X Individual Beforeme, this -day of 20— personally appeared who executed the foregoing instrument, and acknowledged before me, that same was executed for the purposes therein expressed. Corporation LENNAR HOMES, LLC Print Corporation Name (signkur") Print Name: Christopher Smith Its: Authorized Agent Address: 700 NW 1 01th Ave Miami, FL 33172 Telephone No. 813-574-5700 Corporation Beforeme,this 22ND day of MAY 2-o-22 personally appeared of Lennar Homes, LLC a -corporation, on behalf of the state corporation, who executed the foregoing instrument and acknowledged before, me that same was executed for the purposes therein expressed. Print Partnership Name 0 (signature) Print Name: Its: Address; Telephone Partnership Beforeme,this -day of 20— personally appeared p artner/agent on behalf of a partnership, who executed the foregoing instrument and acknowledged before me that same was executed-forthe purposes therein expressed. Personally known XA ;or Produced identi cation—,_ Type of . identification produced Signature of Notar Print Nam- ASHLEE CALLAHAN Notary Public Stamp: ASHLEE MLAHA Commission Expires: xNotary Publl�,. State of Florida G6 244456 NOVEMBER 30,2022 0 Expirel Nov I,2022 5h Nationn', Notary 4! ..... . . . . . . . Page 2 of 2 VR//\ VIRTUAL REVIEW ASSIST Private Provider Plan Compliance Affidavit Private Provider Firm: Virtual Review Assist, Inc. Private Provider: Debra Anne Klahr, BU 1967 Address: 747 Southwest 2 nd Avenue Gainesville, FL 32601 Phone: 813-391-2959 Email: I y(Cvyjqt1iq1rgyie.Hqs istgg�n 41� J_ _� _ _I Project: New SFIr Address(s): 36536 Camp Fire Terrace I hereby certify that to the best of my knowledge and belief the plans submitted were reviewed for and are in compliance with the Florida Building Code and all local amendments to the Florida Building Code by the following affiant, who is duly authorized to perform plans review pursuant to Section 553.791, Florida Statute and holds the appropriate license or certificate: Name: Debra Anne Klahr Plan Sheets: 1,2,3,5,6,7,8,9,10,11,12,13,14,15,16, LI,SN, SNI,S3,S4,S5,S6, ST,SS,D1,WP,PAI.0,PAI.1, PAI.2,PAI.3,PAI.4, SHI.0,SHI.1,SHI.2,SHI.3,SHI.4,SHI.5 Florida License/Registration/Certification 9(s) and description: FS468 Certified Standard Plans Examiner License #: PX2300 Signature of Reviewer: SWORN AND SUBSCRIBED before me by Debra Anne Klahr being personally known to me,or having produced as identification and who being fully sworn and cautioned, state that the foreooing is true and correct to the best of his/her knowledge or belief. a�U AOO iig4nat.u'reof Notary PrintaN�ame commission expires: CA � 1AIi � Notary -'A pL st-�te o� Co I nM" G G CCa ' 4 56 cc'Mm' Ex, 30, 2' As-, COMMERCIAL BUILDING SERVICES DIVISION VRESIDENTIAL BUILDING PERMIT DATA SHEET TRACKING # FOLIO# 36536 Camp Fire Ter FIRE MARSHAL #01 - 197ITM7111FU771 11M DATE: 11/16/2022 EXAMINER: Debra Klahr PX230( VBuilding ElInspection Only c anica E] Inspection Only WElectrical AMP El Inyeetion Only_ IV Roof Medical E] Fire Sprinklers El On Site Piping Irrigation ■Fire Alarm E] Potable Backflow Assembly E] Fire Line Backfiaw Preventer ■Irrigation Backflow Assembly ■ Demolition El Walk-in Cooler Refrigeration Grease Trap Kent FirlIFINT1.12-1 MI, Type Construction: Risk Category: Occupancy Load OWan CYClassification: Assembly usmess 'ay Care/Educational Factory Hazardous Institutional R�ercantile 'Residential StorageE= rtilty Building Use: Single Family 1Alteration 1, Level 2 —Level I ID —Level 3 1:1 New Construction E] Interior Finish ❑ Interior Remodel ❑ Exterior Remodel [j Addition ❑ Revision Overall Size: 18-4 x 63 Number of Stories: 2 Total Sq. Ft.: 1939 Living Area: 1541 Covered Area: 398 # of Bedrooms: 2 # of Baths: 2.5 Cost per square foot: Estimated Value: —]Tile Roof Type: Shingle ®Metal El Built-up F I El Other Squares: 13 Zoning: W' orne Debris: rff'Inside V,,'Outside Energy Code: 405-2020 Flood Zone: X Base Flood Elevation: Finish Floor Elevation: Hydrostatic Vents? r Yes No Sq. Ft. Enclosed Space Below BFE: of Vents: Size of Vents. Total Sq. In. Permanent Openings Central A/C ®heat Pump D Window A/C ❑ Gas A/C E] Gas Heat [] Electric Heat I 10 MITM2=1 Santa !y Sewer Storm Sewer Catch Basins Potable Water Underground Fire Line un?"M Front Rear Left Right 21 Asper Approved Site Plan Comments: 0A